| ‘NW 88326
| Docld:32244094

Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA.
RECORD NUMBER : 180-10070-10152
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 6

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to.the United
States or to any individual.

Number of Postponements: 3

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

Page 1

Date:08/20/93
Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

, AGENCY : HSCA
RECORD NUMBER : 180-10070~-10152

RECORDS SERIES : |
STAFF PAYROLL RECORDS

DOCUMENT INFORMATION

ORIGINATOR : HSCA
FROM :
TO :

TITLE ;

DATE

8/25/77
PAGES 7

0
6

SUBJECTS :
HSCA; ADMINISTRATION
SCHLICHTMANN, JAN

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA

COMMENTS

oe

Box 3.

[R] - ITEM IS RESTRICTED

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SCHLICHTMANN, Jan OFFICE OF THE CLERK | re | |
Popmrelpe mr pouty os eee. he area eel , : . . bobs . : _ - : , . i -
humo of Employee Co ; ; : U.S, HOUSE OF REPRESENTATIVES: : re DALANCE fnOUGHT
; , coe FORWARD FROM
a PRECEDING YEAR >
ig _, PERSONAL LEAVE RECORD © seepING YEAR
| - 3 | po 976 7 :
- weenie pom munpcemnmndeaiaatnent riences ant stnit Peveeern tty eaeaennnennneemenmmmmemnael ‘ . oo mo .
: Address , Cos mo ; YEAK
CT _ ANNUAL LEAVE - Ce,
Jo Phone Number CATEGORY .
. wg '.
Re ee TN ANC | : : 4
Position Tiila : oy _
a PRIGR FEGERAL SCRVICE 45 60
eerenannninecae sane enna Srapeeanennene ee POTereerayye rit . ACCRUED . AVAILASLE : : BALANAC . w
bevel step Lame ttats Months 2.0 | THIS MONTH | THIS MONTH iid ou AT Gtase ]
, : " os
pee “ 7 : Semen ge
; : ; DAY OF MONTH sual} St Annual Sick Annual Sick Anaual Sick 2
rt rare [43 (ICT 17. ‘ Leave Leave} Leave keave _leave
pipe
| 7] = 0.5 day annual leave ee "CERTIFIED CORRECT: ~
><] = 1,0 day annual leave ae So : - a - a | Se
1 : [57] = 0.5 day sick leave oo, co, mo, . . _ o ce
\ . ae eterna nrc a AOR CARE ———— Leen en enn enema mamta Cae ee aamuneeenamane anager
| ; or EAE 3.0 day sick Icave , ' Employeo's Signature. ‘Pate ; : . _Chiel's Signature : ; Date
; : oo (if employes refuses $0 slen, state reason helow.: rr Ce _
. cA o = 0.5 day administrative leave oo eT oo Se a es
[A}or (l= 1.0 day administrative leave : ee 7 - ; - vee ~ Approved: == —_———__—__
Poot _ a ; : . i ; Clerk of the House - Date oo
7 b fy = 0. 5 day unaulhorized absence .
ae a This record will be forwarded to the Clerk of the House at the end of cach calendar year, or in case of termination, along
fe |u| y] = 1.0 day unauthorized absence | oo vith the request for termination. Upon approva i, the record will be filed in the employee's § Official personnel folder. 7 ;
Fag = 0.5 day leave without pay | , Be ; ;
; Lo ss 1,0 doy leave without pay” ;


INNER Fae Sg ITI Repco SAV RAR ami  TT ONOTN CR ae agree ne SRR tae ma

PAYROLL AUTHORIZATION FORM
(Please Use Typewriter = --*. U. S. HOUSE OF REPRESENTATIVES - (Any erasures; corrections; or changes

authorizing official.)

| To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) me [a ~ Effective Date’ :
Poo Jan Richard Schlichtmann - . 4 f26778
pL Employee Social Security.Number .

029. 38.8535 C1 Appointment
O Salary Adjustment
1 Title Change ©
‘Ts Termination (At close of business on effective date)
C1 Leave without pay (Beginning with effective date above and ending

close of business

Gross Annual Salary*

$25,790
plus the salary received from the employing office. -

(If Committee Employee, complete appropriate item below.)

-O _— Committee: Staff—E] Clerical or 0 Professional.

256. 23 © Congress.
3. 0) Joint Committee.

(if Employee of an Officer of the House, complete item below.)

Ste pie

Position Number If applicable, Level

|. certify that. this .authorizationis. not in violation of 5 U.S.C. -3110(b), prohibiting the employment of
relatives.

Date._ 3/18 . 19.28

(Signature of Authorizing Official}

LOUIS STOKES

"(Type or print name of Authorizing Official) |

wee eee CBALRBAN . °

(Type or print name and title of above official) ST Title= “if Member, District ond § ar ria =

All appointments and salary adjustments for employees under. the House Classification Act and for Committee em-

ployees, except those -of the .Committee.on Appropriations, the Committee on: the Budget, and thé Joint Committees, must:
be approved by the Committee on House Administration.

APPROVED:

Choirman, Committee on House Administration

Office of Finance use only:

Office Code

(Revised: August 1 1977)

Copy for Initiating Office or Committee.

W 88326 oe

of Ballpoint Pen) ~~ Washington, D.C. 20515 on this form must be initialed by the

a * If employee i is a civil service annuitant (includes. U.S. House of ‘ Representatives}, the gross annual’salary shown: should-include.the annuity received by the employee -

. —- . poe mae
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PAYROLL AUTHORIZATION FORM

-(Please Use Typewriter ~- US: HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes:

‘or Ballpoint Pen) Washington, D.C. 20515 an this form must ° initialed by the

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) oo | co a Effective Date

Jan Richard Schiichtmann

Enployee Soil Souly Number
O29= 38-2526 CO Appointment
. a Ld Salary Adjustment
Employing Office or Committee/Subcommittee ( Title Change :
: © Termination (At close of business on effective. date)
+ ASSassinations C Leave without pay (Beginning with effective date above and ending |

close of business
Specify Date

{If typeof action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) “~~

_ Position Title | Gross Annual Salary*

we Assist

plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.) -

1.0 = Sending Committee: Staff—U Clerical or 0 Professional::

3. O Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number__.._ If applicable, Level

Step_____-..

relatives.

All appointments and salary adjustments for-employees -under the House Classification Act and. for Committee em-

be approved by the Committee on House Administration.

APPROVED:

Office of Finance use only:
‘Office Code

Monthly Annuity $_. 00 as of Payroll. _

(Revised: August 1 1977) ;

. Copy for Initiating Office. or-Committee
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| Decld:32244094 Page 5

It emoloyee is-a civil service annuitant (includes U.S. House of Representatives), the ‘gross annual salary shown should include the annuity received: by the amployee vos,

ployees, except those of the Committee on Appropriations, the Committee on the. Budget; and the Joint Committeés, must a

|- certify that this ‘authorization is not in violation. of .5 Us.c. 3110(b, Prohibiting: the employment of *— 4

pi bet

iy Jeet

PAYROLL. AUTHORIZATION: FORM nes : I
» (Please‘Use Typewriter... 5 - U.S: HOUSE | OF. REPRESENTATIVES -. (Any. erasures, corrections, or-chariges-":

, - fos Hee Dey on ce, _on this form must: be. initialed by thes
bo or Ballpoint Pen) os Washington: ‘D.C. 20515 - authorizing official.) - a

To the Clerk of the House of Representatives:: : 2 00. S0le ce er

| hereby authorize the following payroll.action: “98

_Employee:-Name (First-Middle-Last) "=~. ee a8 z ‘ o 7 = z ~ Effective Date. ne Se hops
. Jen F Richara Schlichtaana —_ os "9/28/77 _ cf.
i 7 ae po ee “Employee Social Security: ‘Number: oe oa eae oe uo = a Ime of Faction Sone owe
029. 32 3330 | . [R) Appointment
Employing Office or Committee — on ; a wee ae} Salary Adjustment. ce _
Assassinations oe -. +... |.) Termination (At close of business on effective date) -

» (If type of action is.an Appointment-or'Salary Adjustment, complete the following-information)°: v.82 So vee Fa

peson Tile Say)

_ $19,500

(If Committee Employee, complete appropriate item below:)}:° +

- 1. [] Standing Committee: Staff—[] Clerical or} Professional. ~~ ..~

a
4

fstledun sbatidl™ sie
_

i - 2. J Special or. Select. Committee: Authority.—H. Res. 485. .of S388. ‘Congress. .

3. {_] Joint Committee.

tog

gps RN PY aN DEY COND ORUSHETE'T OC) Dts ON CO ST aan ese Ase

(If Employee of an Officer of the House, complete item'below.) =~:

Position Number___) If applicable,-Level

; | certify that: this authorization. isnot -in’ violation:-of 5 U.S.C.~3110(b);. prohibiting. the -employment.of 1."
relatives.

Date. August 25 | 1977

iow of Authorizing Official)

~ — LOUIS STOKE

_ LOUIS STOKES es

(Type or print name of Authorizing Official) -

CHAIRMAN oe . a

‘All appointments and salary adjustments for ‘employees under the House Classification Act and’ for Committee em-
ployees;..except those:of the Committee on-Appropriations, the Committee on: the:Budget; and the Joint Committees, must “- >”
be approved by the Committee on House Administration. : oe ;

APPROVED:._-0

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

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MEMORANODU Mo

TO: ALL STAFE
RE: Payroll] Certif ication

The | Regulations and Accounting Precedures for Allowances. and

Expenses of Committees, Members and Employees of the U.S. House of

Repre resentatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any » of
each employee to any current Member of Congress. This certification
is signed monthly by our Chairman.

The following are the relationships ‘to be included in the.
certification:

father . . nephew brother-in-law —
motner nd niece . ‘sister-in-law
son . husband —— stepfather
daughter wife. | stepmother
brother father-in-law stepbrother
ister ; mother-in-law ' stensister
uncle. Son-in-law half-brother

aunt . daughter-in-law - half-sister
first cousin ; .

Please complete the appropriate portion below, sign and date .

this form, which will then become a part of your permanent personnel
File. If this status changes, you must notify the Committee's Budget
Office immediately of the change.

I I am not related to any current (95th Congress) Member of Congress.

{7 1 am related to a current (95th Congress) Member of Congress..
(Please specify.)

ate

__£ps/22.

OT frente

——


kw 68326

DATE: “August 25, 1977

MEMORANDUM

TO: 7. Howarth, | Budget Officer 7
. ee
FROM: G. Robert Blakey, Chief Counsel and Director

RE: Mr. Jan Schlichtmann

This is to inform you. that Mr. Jan Schlichtmann,

has accepted the position of Law Assistant/Legal unit with |
‘the: Committee staff. Mr. Schlichtmann' Ss. effective starting
date will be August 254 (1977, starting salary will be. $19, 500.

“Your co- ~operation in familiarizing him with the |

operation of the staff will be. greatly appreciated.

jl

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